ArticleAcademic pediatrics
Health Care Utilization by Body Mass Index in a Pediatric Population.
Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Healthcare utilisation in overweight and obese children: a systematic review and meta-analysis.BMJ open · 2020Pooled it
- Healthcare utilisation across five years among adolescents following metabolic-bariatric surgery; a prospective observational study.Lancet regional health. Americas · 2026Article
- Article
- Association Between Nutritional Status and Tooth Count: A Clinical Study.International journal of clinical pediatric dentistry · 2025Article
- Association between adolescent obesity and early adulthood healthcare utilization-a two-cohort prospective study.BMC medicine · 2025Article
- Role of geographic risk factors and social determinants of health in COVID-19 epidemiology: Longitudinal geospatial analysis in a midwest rural region.Journal of clinical and translational science · 2022Article
- Higher Child Body Mass Index Is Associated with Greater School-Based Health Center Utilization.Childhood obesity (Print) · 2020Article
- Overweight and obesity in preschool aged children and risk of mental health service utilization.International journal of obesity (2005) · 2019Article
- Are children with clinical obesity at increased risk of inpatient hospital admissions? An analysis using linked electronic health records in the UK millennium cohort study.Pediatric obesity · 2019Article
- The relationship between body mass index and children's presentations to a tertiary pediatric emergency department.Italian journal of pediatrics · 2018Observational
- Assessment of the Relationship between Body Mass Index and Gross Motor Development in Children.Iranian journal of child neurology · 2017Article
- Improving access and systems of care for evidence-based childhood obesity treatment: Conference key findings and next steps.Obesity (Silver Spring, Md.) · 2017Review
- Treating Obesity in Preschoolers: A Review and Recommendations for Addressing Critical Gaps.Pediatric clinics of North America · 2016Review
- The Prevalence of Obesity and Elevated Blood Pressure in Adolescent Student Athletes From the State of Mississippi.Orthopaedic journal of sports medicine · 2016Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
Abstract
objectiveWe tested the hypothesis that the frequency of emergency department (ED) visits, outpatient clinic visits, and hospitalizations were higher among children with higher body mass index (BMI) categories, even after controlling for demographics, socioeconomic status, and presence of other chronic medical conditions.
methodsWe obtained electronic height, weight, and utilization data for all residents of Olmsted County, Minnesota, aged 2 to 18 years on January 1, 2005 (n = 34,335), and calculated baseline BMI (kg/m(2)). At least 1 BMI measurement and permission to use medical record information was available for 19,771 children (58%); 19,528 with follow-up comprised the final cohort. BMIs were categorized into underweight/healthy weight (<85th percentile), overweight (85th to <95th percentile), and obese (≥95th percentile). Negative binomial models were used to compare the rate of utilization across BMI categories. Multivariable models were used to adjust for the effects of age, race, sex, socioeconomic status, and chronic medical conditions.
resultsCompared to children with BMI <85th percentile, overweight and obese status were associated with increased ED visits (adjusted incident rate ratio [IRR] 1.16, 95% confidence interval [CI] 1.10, 1.23; and IRR 1.27, 95% CI 1.19, 1.35, respectively; P for trend <.0001), and outpatient clinic visits (IRR 1.05, 95% CI 1.02, 1.08; and IRR 1.07, 95% CI 1.04, 1.11, respectively; P for trend <.0001). No associations were observed between baseline BMI category and hospitalizations in the adjusted analyses.
conclusionsChildren who are overweight or obese utilize the ED and outpatient clinics more frequently than those who are underweight/healthy weight, but are not hospitalized more frequently.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.